1. Home
  2. Directory
  3. California
  4. South Gate
  5. Physician Assistant
  6. NPI Profile

MR. CARLOS VASQUEZ PA
NPI 1841479839
Physician Assistant in South Gate, CA

Active since October 26, 2007PECOS Enrolled
4067 TWEEDY BLVD, SOUTH GATE, CA 90280(323) 569-1126(877) 403-7113 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Carlos Vasquez Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CARLOS VASQUEZ PA (NPI 1841479839) is an individual physician assistant in South Gate, California, licensed in California (PA14141) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lakewood.

NPPES Registry Identity

NPI1841479839
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARLOS VASQUEZCredential: PA
Location Address4067 TWEEDY BLVDSouth Gate, CA 90280-6146
Mailing Address4067 Tweedy BlvdSouth Gate, CA 90280-6146 · (323) 569-1126 · Fax (877) 403-7113
Phone(323) 569-1126
Fax(877) 403-7113
Sole ProprietorYes
Enumeration DateOctober 26, 2007
Last NPPES UpdateMarch 18, 2026
NPPES CertifiedMarch 18, 2026
✔ NPI 1841479839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA14141
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4067 TWEEDY BLVD, South Gate, CA 90280
Open in Google Maps ↗

Secondary Practice Location 1

Location 13700 South StLakewood, CA 90712-1419 · Phone (562) 531-2550

Other Identifiers 1

OtherPA14141CA · Pa License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlos Vasquez Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90280 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA DANIELLE MONAZZAM NP
Nurse Practitioner
4067 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 569-1126
ADVANCED CARE ORTHOPEDICS
Clinic/Center
4067 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 569-1126
JAFAR MOTTAGHIAN MONAZZAM PT
Physical Therapist
4067 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 563-1160
DR. SHAFAGH MONAZZAM MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4067 TWEEDY BLVD
SOUTH GATE, CA 90280
Los Angeles County (323) 569-1126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Vasquez's NPI number?

The NPI number for Carlos Vasquez is 1841479839. It was assigned to this individual provider in the NPPES registry on October 26, 2007.

Where is Carlos Vasquez located?

Carlos Vasquez practices at 4067 Tweedy Blvd, South Gate, CA 90280. The listed phone number is (323) 569-1126.

What is Carlos Vasquez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carlos Vasquez enrolled in Medicare?

Yes. Carlos Vasquez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carlos Vasquez was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.